Skip to main content
Erschienen in: Gastro-News 5/2023

16.10.2023 | Koloskopie | Zertifizierte Fortbildung

Organerhaltende interventionelle Therapieansätze

Endoskopisch gegen Frühneoplasien im unteren Gastrointestinaltrakt

verfasst von: Dr. med. Susanne M. Hürtgen, Prof. Dr. med. Jens Tischendorf

Erschienen in: Gastro-News | Ausgabe 5/2023

zum CME-Kurs Einloggen, um Zugang zu erhalten

Auszug

Die zunehmende Verbesserung von endoskopischen Therapieverfahren ermöglicht unter bestimmten Voraussetzungen die kurative endoskopische Resektion bei malignen Frühläsionen des unteren Gastrointestinaltrakts. Operative Eingriffe können hierbei vermieden und ein organerhaltender Therapieansatz erzielt werden. Der folgende Beitrag gibt einen Überblick über die bestehenden Klassifikationen, Resektionstechniken, Indikationen und Limitationen.
Literatur
1.
Zurück zum Zitat Heil FJ, Aschenbeck J, Hoppe D. 20 Jahre Vorsorgekoloskopie in Deutschland: aktueller Stand, kritische Betrachtung und Ausblick. Dtsch Med Wochenschr 2023; 148:77-83 Heil FJ, Aschenbeck J, Hoppe D. 20 Jahre Vorsorgekoloskopie in Deutschland: aktueller Stand, kritische Betrachtung und Ausblick. Dtsch Med Wochenschr 2023; 148:77-83
2.
Zurück zum Zitat Schmiegel W et al. S3-Leitlinie - Kolorektales Karzinom. Z Gastroenterol. 2017;55(12):1344-98 Schmiegel W et al. S3-Leitlinie - Kolorektales Karzinom. Z Gastroenterol. 2017;55(12):1344-98
3.
Zurück zum Zitat Ebigbo A, Probst A, Messmann H. Endoscopic treatment of early colorectal cancer - just a competition with surgery? Innov Surg Sci. 2018; 3(1):39-46 Ebigbo A, Probst A, Messmann H. Endoscopic treatment of early colorectal cancer - just a competition with surgery? Innov Surg Sci. 2018; 3(1):39-46
4.
Zurück zum Zitat Rönnow CF et al. Lymphovascular infiltration, not depth of invasion, is the critical risk factor of metastases in early colorectal cancer. Ann Surg. 2022;275:e148-e154 Rönnow CF et al. Lymphovascular infiltration, not depth of invasion, is the critical risk factor of metastases in early colorectal cancer. Ann Surg. 2022;275:e148-e154
5.
Zurück zum Zitat Zwager LW et al. Deep submucosal invasion is not an independent risk factor for lymph node metastasis in T1 colorectal cancer: a meta-analysis. Gastroenterology. 2022;163:174-89 Zwager LW et al. Deep submucosal invasion is not an independent risk factor for lymph node metastasis in T1 colorectal cancer: a meta-analysis. Gastroenterology. 2022;163:174-89
6.
Zurück zum Zitat Probst A, Ebigbo A, Messmann H. Endoskopische Techniken bei Frühkarzinomen im oberen und unteren Gastrointestinaltrakt. Chirurg. 2018;89:365-73 Probst A, Ebigbo A, Messmann H. Endoskopische Techniken bei Frühkarzinomen im oberen und unteren Gastrointestinaltrakt. Chirurg. 2018;89:365-73
7.
Zurück zum Zitat Uno Y, Munakata A. The non-lifting sign of invasive colon cancer. Gastrointest Endosc. 1994;40(4):485-9 Uno Y, Munakata A. The non-lifting sign of invasive colon cancer. Gastrointest Endosc. 1994;40(4):485-9
8.
Zurück zum Zitat Messmann H. Lehratlas der Koloskopie: Das Referenzwerk zur Untersuchungstechnik und Befundinterpretation. Georg Thieme Verlag Stuttgart 2015, 2. aktualisierte Auflage Messmann H. Lehratlas der Koloskopie: Das Referenzwerk zur Untersuchungstechnik und Befundinterpretation. Georg Thieme Verlag Stuttgart 2015, 2. aktualisierte Auflage
9.
Zurück zum Zitat Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy. 2005;37(6):570-8 Endoscopic Classification Review Group. Update on the Paris classification of superficial neoplastic lesions in the digestive tract. Endoscopy. 2005;37(6):570-8
10.
Zurück zum Zitat Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon. Gastrointest Endosc. 2003;58(6):S3-43 Participants in the Paris Workshop. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon. Gastrointest Endosc. 2003;58(6):S3-43
11.
Zurück zum Zitat Shaukat A et al. Endoscopic recognition and management strategies for malignant colorectal polyps: recommendations of the US multi-society task force on colorectal cancer. Gastroenterology. 2020;159:1916-34 Shaukat A et al. Endoscopic recognition and management strategies for malignant colorectal polyps: recommendations of the US multi-society task force on colorectal cancer. Gastroenterology. 2020;159:1916-34
12.
Zurück zum Zitat Uraoka T et al. Endoscopic indications for endoscopic mucosal resection of laterally spreading tumours in the colorectum. Gut. 2006;55:1592-7 Uraoka T et al. Endoscopic indications for endoscopic mucosal resection of laterally spreading tumours in the colorectum. Gut. 2006;55:1592-7
13.
Zurück zum Zitat Rex DK, Hassan C, Bourke MJ. The colonoscopist's guide to the vocabulary of colorectal neoplasia: histology, morphology, and management. Gastrointest Endosc. 2017;86(2):253-63 Rex DK, Hassan C, Bourke MJ. The colonoscopist's guide to the vocabulary of colorectal neoplasia: histology, morphology, and management. Gastrointest Endosc. 2017;86(2):253-63
14.
Zurück zum Zitat Iwatate M et al. NBI and NBI combined with magnifying colonoscopy. Diagn Ther Endosc. 2012;2012:173269 Iwatate M et al. NBI and NBI combined with magnifying colonoscopy. Diagn Ther Endosc. 2012;2012:173269
15.
Zurück zum Zitat Patrun J, Okreša L, Iveković H, Rustemović N. Diagnostic Accuracy of NICE classification system for optical recognition of predictive morphology of colorectal polyps. Gastroenterol Res Pract. 2018;14:7531368 Patrun J, Okreša L, Iveković H, Rustemović N. Diagnostic Accuracy of NICE classification system for optical recognition of predictive morphology of colorectal polyps. Gastroenterol Res Pract. 2018;14:7531368
16.
Zurück zum Zitat Hewett DG et al. Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using Narrow-band Imaging. Gastroenterology. 2012;143:599-607 Hewett DG et al. Validation of a simple classification system for endoscopic diagnosis of small colorectal polyps using Narrow-band Imaging. Gastroenterology. 2012;143:599-607
17.
Zurück zum Zitat Higurashi T et al. Comparison of the diagnostic performance of NBI, Laser-BLI and LED-BLI: a randomized controlled noninferiority trial. Surg Endosc. 2022;36:7577-87 Higurashi T et al. Comparison of the diagnostic performance of NBI, Laser-BLI and LED-BLI: a randomized controlled noninferiority trial. Surg Endosc. 2022;36:7577-87
18.
Zurück zum Zitat Kobayashi S et al. Diagnostic yield of the Japan NBI Expert Team (JNET) classification for endoscopic diagnosis of superficial colorectal neoplasms in a large-scale clinical practice database. United European Gastroenterol J. 2019;7(7):914-23 Kobayashi S et al. Diagnostic yield of the Japan NBI Expert Team (JNET) classification for endoscopic diagnosis of superficial colorectal neoplasms in a large-scale clinical practice database. United European Gastroenterol J. 2019;7(7):914-23
19.
Zurück zum Zitat Minoda Y et al. Objective validity of the Japan Narrow-Band Imaging Expert Team classification system for the differential diagnosis of colorectal polyps. Dig Endosc. 2019;31:544-51 Minoda Y et al. Objective validity of the Japan Narrow-Band Imaging Expert Team classification system for the differential diagnosis of colorectal polyps. Dig Endosc. 2019;31:544-51
20.
Zurück zum Zitat Burgess NG, Bourke MJ. Endoscopic resection of colorectal lesions: The narrowing divide between East and West. Dig Endosc. 2016;28:296-305 Burgess NG, Bourke MJ. Endoscopic resection of colorectal lesions: The narrowing divide between East and West. Dig Endosc. 2016;28:296-305
21.
Zurück zum Zitat Schiemer M, Schmidt A. Moderne endoskopische Resektionen im Kolorektum: Möglichkeiten, Perspektiven, Grenzen. Dtsch Med Wochenschr. 2023;148:84-92 Schiemer M, Schmidt A. Moderne endoskopische Resektionen im Kolorektum: Möglichkeiten, Perspektiven, Grenzen. Dtsch Med Wochenschr. 2023;148:84-92
22.
Zurück zum Zitat Van Hattem WA et al. Piecemeal cold snare polypectomy versus conventional endoscopic mucosal resection for large sessile serrated lesions: a retrospective comparison across two successive periods. Gut. 2021;70:1691-7 Van Hattem WA et al. Piecemeal cold snare polypectomy versus conventional endoscopic mucosal resection for large sessile serrated lesions: a retrospective comparison across two successive periods. Gut. 2021;70:1691-7
23.
Zurück zum Zitat Klein A et al. Thermal ablation of mucosal defect margins reduces adenoma recurrence after colonic endoscopic mucosal resection. Gastroenterology. 2019;156(3):604-13 Klein A et al. Thermal ablation of mucosal defect margins reduces adenoma recurrence after colonic endoscopic mucosal resection. Gastroenterology. 2019;156(3):604-13
24.
Zurück zum Zitat Sidhu M et al. Outcomes of thermal ablation of the mucosal defect margin after endoscopic mucosal resection: a prospective, international, multicenter trial of 1000 large nonpedunculated colorectal polyps. Gastroenterology. 2021;161:163-70 Sidhu M et al. Outcomes of thermal ablation of the mucosal defect margin after endoscopic mucosal resection: a prospective, international, multicenter trial of 1000 large nonpedunculated colorectal polyps. Gastroenterology. 2021;161:163-70
25.
Zurück zum Zitat Rotermund C et al. Recurrence rates after endoscopic resection of large colorectal polyps: A systematic review and meta-analysis. World J Gastroenterol. 2022;28(29):4007-18 Rotermund C et al. Recurrence rates after endoscopic resection of large colorectal polyps: A systematic review and meta-analysis. World J Gastroenterol. 2022;28(29):4007-18
26.
Zurück zum Zitat Ichkhanian Y et al. Evolving management of colorectal polyps. Ther Adv Gastrointest Endosc. 2021;14:1-14 Ichkhanian Y et al. Evolving management of colorectal polyps. Ther Adv Gastrointest Endosc. 2021;14:1-14
27.
Zurück zum Zitat Hossain E et al. Future of endoscopy: Brief review of current and future endoscopic resection techniques for colorectal lesions. Dig Endosc. 2020;32:503-11 Hossain E et al. Future of endoscopy: Brief review of current and future endoscopic resection techniques for colorectal lesions. Dig Endosc. 2020;32:503-11
28.
Zurück zum Zitat Nagl S, Ebigbo A, Goelder SK et al. Underwater vs conventional endoscopic mucosal resection of large sessile or flat colorectal polyps: a prospective randomized controlled trial. Gastroenterology. 2021;161:1460-74 Nagl S, Ebigbo A, Goelder SK et al. Underwater vs conventional endoscopic mucosal resection of large sessile or flat colorectal polyps: a prospective randomized controlled trial. Gastroenterology. 2021;161:1460-74
29.
Zurück zum Zitat Fleischmann C et al. Endoscopic submucosal dissection in Europe: Results of 1000 neoplastic lesions from the german endoscopic submucosal dissection registry. Gastroenterology. 2021;161:1168-78 Fleischmann C et al. Endoscopic submucosal dissection in Europe: Results of 1000 neoplastic lesions from the german endoscopic submucosal dissection registry. Gastroenterology. 2021;161:1168-78
30.
Zurück zum Zitat Bourke MJ, Neuhaus H, Bergman JJ. Endoscopic submucosal dissection: Indications and application in Western endoscopy practice. Gastroenterology. 2018;154(7):1887-900 Bourke MJ, Neuhaus H, Bergman JJ. Endoscopic submucosal dissection: Indications and application in Western endoscopy practice. Gastroenterology. 2018;154(7):1887-900
31.
Zurück zum Zitat Schurr MO et al. Endoluminal full-thickness resection of GI-lesions: A new device and technique. Minim Invasive Ther Allied Technol. 2011;20:189-92 Schurr MO et al. Endoluminal full-thickness resection of GI-lesions: A new device and technique. Minim Invasive Ther Allied Technol. 2011;20:189-92
32.
Zurück zum Zitat Schmidt A et al. Colonoscopic full-thickness resection using an over-the-scope device: a prospective multicentre study in various indications. Gut. 2018;67:1280-9 Schmidt A et al. Colonoscopic full-thickness resection using an over-the-scope device: a prospective multicentre study in various indications. Gut. 2018;67:1280-9
33.
Zurück zum Zitat Wannhoff A et al. Systematic review and meta-analysis on effectiveness and safety of the full-thickness resection device (FTRD) in the colon. Z Gastroenterol. 2022;60:741-52 Wannhoff A et al. Systematic review and meta-analysis on effectiveness and safety of the full-thickness resection device (FTRD) in the colon. Z Gastroenterol. 2022;60:741-52
34.
Zurück zum Zitat Okamoto Y et al. Indications and outcomes of colorectal hybrid endoscopic submucosal dissection: a large multicenter 10-year study. Surg Endosc. 2022;36:1894-902 Okamoto Y et al. Indications and outcomes of colorectal hybrid endoscopic submucosal dissection: a large multicenter 10-year study. Surg Endosc. 2022;36:1894-902
35.
Zurück zum Zitat Pimentel-Nunes P et al. Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2015;47:829-54 Pimentel-Nunes P et al. Endoscopic submucosal dissection: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2015;47:829-54
36.
Zurück zum Zitat Pimentel-Nunes P et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy. 2022;54(6):591-622 Pimentel-Nunes P et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy. 2022;54(6):591-622
37.
Zurück zum Zitat Didden P et al. Relevance of polyp size for primary endoscopic full-thickness resection of suspected T1 colorectal cancers. Endoscopy. 2022;54:1062-70 Didden P et al. Relevance of polyp size for primary endoscopic full-thickness resection of suspected T1 colorectal cancers. Endoscopy. 2022;54:1062-70
38.
Zurück zum Zitat Moons LMG et al. Endoscopic intermuscular dissection for deep submucosal invasive cancer in the rectum: a new endoscopic approach. Endoscopy. 2022;54:993-8 Moons LMG et al. Endoscopic intermuscular dissection for deep submucosal invasive cancer in the rectum: a new endoscopic approach. Endoscopy. 2022;54:993-8
Metadaten
Titel
Organerhaltende interventionelle Therapieansätze
Endoskopisch gegen Frühneoplasien im unteren Gastrointestinaltrakt
verfasst von
Dr. med. Susanne M. Hürtgen
Prof. Dr. med. Jens Tischendorf
Publikationsdatum
16.10.2023
Verlag
Springer Medizin
Erschienen in
Gastro-News / Ausgabe 5/2023
Print ISSN: 1869-1005
Elektronische ISSN: 2520-8667
DOI
https://doi.org/10.1007/s15036-023-3284-1

Weitere Artikel der Ausgabe 5/2023

Gastro-News 5/2023 Zur Ausgabe